| NPI | 1376879577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WATFORD Executive Director 770-374-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 926894182A) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |